Individual
JENA WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
808 5TH AVE, DES MOINES, IA 50309-1307
(515) 244-2267
Mailing address
PO BOX 35425, DES MOINES, IA 50315-0304
(515) 244-2267
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008302
IA
Other
Enumeration date
07/29/2013
Last updated
09/06/2013
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